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Expanding Pediatric Diabetes and Endocrinology Care

Expanding Pediatric Diabetes and Endocrinology Care. Brad Fuhrman, MD Region 15 RHP Meeting El Paso First Healthplan , 1145 Westmoreland Drive July 30, 2014 1:00pm. Description of the Project.

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Expanding Pediatric Diabetes and Endocrinology Care

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  1. Expanding Pediatric Diabetes and Endocrinology Care Brad Fuhrman, MD Region 15 RHP Meeting El Paso First Healthplan, 1145 Westmoreland Drive July 30, 2014 1:00pm

  2. Description of the Project • The Department of Pediatrics is the primary provider of Diabetes and Endocrinology care to infants and children in El Paso. • We have, for many years, had a single Endocrinologist to service the entire region. • Appointment wait times range from 6 to 12 months. • Large numbers of children leave the region to find care.

  3. Description of the Project The primary goal of this project is to expand the availability of endocrine care by hiring additional pediatric endocrinologists, dieticians, diabetes educators and diabetes nurses to work as a team to improve access to care.

  4. Description of the Project • DY3 Milestones: • Implement E-Referral Technology • Hire 2 FTE Pediatric Endocrinologists • Bi-Weekly Meetings • Increase Number of Clinic Visits by 500 • Increase Number of Medicaid and Uninsured Visits by 300

  5. Description of the Project • DY4 Milestones: • Bi-Weekly Meetings • Increase Number of Pediatric Endocrinologists by 0.5 FTE • Increase Number of Visits over Baseline by 750 • Increase Number of Medicaid and Uninsured Visits Over Baseline by 450

  6. Description of the Project • DY 5 Milestones: • Bi-Weekly Meetings • Increase Number of Visits Over Baseline by 1200 • Increase Number of Medicaid and Uninsured Visits Over Baseline by 720

  7. Description of the Project • Additional Category 3 Outcomes: • HbA1c Testing Rate • Pediatric Quality of Life Assessment

  8. Benefits to the Community • Greater Access to Pediatric Endocrine Care • Reduced Need to Travel for Pediatric Endocrine Care • Improved Quality of Care • Fewer Acute Hospitalizations • Better Quality of Life

  9. Progress • Bi-Weekly Meetings held to review project status • Three Pediatric Endocrinologists Hired in DY3 • DY3 Visit Milestones Nearing Completion • DY3 Medicaid Visits Milestone Nearing Completion • Quality of Life Survey Baseline Established • HbA1c Testing in Pediatric Endocrine Clinic Established

  10. Data Pediatric Patient Encounters in Endocrinology Clinic -- Baseline 7% Increase Thus Far

  11. Innovations • I-Pad administration of Peds QOL Assessment • In-house HBA1c’s

  12. Quality Improvements • Improvements to clinic processes through Value Stream Mapping and Rapid Cycle Improvements PDSA’s:

  13. Questions? Comments?

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